Team Joslin - Falmouth Road Race Application 2019

 

New Balance Falmouth Road Race
Sunday, August 18, 2019
Team Joslin Application -- WAITLIST ONLY

 

Please note that this application is not the official New Balance Falmouth Road Race entry. By filling this out you are not guaranteed an entry. Once applications are submitted and reviewed, selections will be made on a rolling basis. Joslin is part of New Balance Falmouth Road Race Numbers for Nonprofits Program. Each guaranteed entry provided by Joslin requires a $1,000 fundraising commitment.

 

Once an applicant is accepted, confirmed team members will need to register directly with the New Balance Falmouth Road Race.

  Personal Information

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What's this?

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Question - Required - I use the following social networks:

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Question - Required - Application Type:


 

 

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While the required fundraising commitment is $1,000 per runner, we encourage team members to set a higher goal to help us raise more money and meet our team goal.

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Question - Required - My running level:



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Fundraising and other requirements for accepted applicants to Team Joslin:
(All guaranteed entries provided by Joslin Diabetes Center subject to the following Team Joslin requirements.)

 

Fundraising Agreement and Release:

(You must indicate your agreement with the terms and conditions below in order to participate in this sporting event.)

  • • Each team member is responsible for raising a minimum of $1000 by September 18, 2019.
  • Any fundraising minimum balance due will be billed to the team member's credit card on September 18, 2019 (Visa, MasterCard, American Express or Discover)
  • • I understand that if I receive a number from Joslin Diabetes Center, my fundraising commitment exists regardless of my ability to train for and run the New Balance Falmouth Road Race on August 18, 2019.
  • • Matching Gift Policy: Many companies match employees' charitable contributions. Many companies issue matching gift checks quarterly or semi-annually, therefore if you plan to use a match to reach your minimum, it is your responsibility to contact the matching company to ensure the check will be issued and received by Joslin before September 18, 2019.
  • • The minimum age for Joslin team members complies with the Falmouth Road Race regulations.
  • • Cancellation Policy: Accepted applicants may not cancel their participation with the Joslin Diabetes Center team for the New Balance Falmouth Road Race. You are responsible for raising the $1,000 commitment, even if for any reason, including injury, you are unable to run in the race.
  • • Each runner is required to secure their minimum commitment on the CrowdRise Fundraising platform.
  • • Each runner is required to utilize CrowdRise for online fundraising activities.
  • • Charity guaranteed entries cannot be deferred.
  • • Please note that any donations raised and received by our office will not be refunded.

 

I assume all risks associated with my participation in this sporting event. I understand that any exercise activity may create physical stress and subsequent harmful effects and that various hazardous conditions may exist at the time of my participation. I, for myself and anyone entitled to act on my behalf, waive and release Joslin Diabetes Center and its affiliates from any liability whatsoever from any and all harm or injury that could result from my participation in this sporting event. I understand that by participating in this sporting event I am raising funds to benefit Joslin Diabetes Center. I hereby give Joslin Diabetes Center (“Joslin”) permission to use, publish, distribute, copyright and publicly display any photographic, video or audio reproductions of my photograph or voice made at or related to the above event. I also give Joslin permission to use, distribute and publish in any format my name and any information that I have provided in the course of my participation in the above event or my being interviewed, photographed or videotaped. Joslin may also allow any commercial publication or media outlet to use my photograph, video or audio recording.

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Question - Required - I agree to the Fundraising Agreement and Release

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Question - Required - Date:




 
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